Form DL 142, Request for Cancellation or Surrender of a Driver License or ID Instructions

Enter the specific reason you are voluntarily surrendering or canceling your Driver License or Identification Card. Provide a brief explanation such as “Moving out of state,” “Duplicate license issued,” “Name change,” etc. This field is required whenever you check either the “Driver License (DL)” or “Identification Card (ID)” box under “I voluntarily surrender and request the cancellation of my:” on the same form.

Check this box if the driver license or identification card being surrendered is currently held by a minor.

Check this box if the license you are canceling is not currently held by the minor.

Check this box if there has been a change in custody of the minor whose driver license or identification card is being surrendered or cancelled.

Check this box to indicate that there is no change in the minor’s custody when cancelling their license or application.

Enter the full legal name of the individual completing and signing this form in clear, printed letters. Include first name, middle initial (if any), and last name. This field is required when you provide your Signature.

Enter the date you sign this form in MM/DD/YYYY format. This field is required when you complete the Signature of person completing the form section.

Check this box when the license being surrendered or cancelled is currently held by the minor.

Check this box when the license to be cancelled is not currently in the minor’s possession.

Check this box when there has been a change in custody of the minor whose driver license or identification card application or issuance you are cancelling or surrendering.

Check this box when cancelling a minor’s license or application to indicate that the minor’s custody has not changed.

Enter the date you sign the form in MM/DD/YYYY format (for example, 07/24/2023). This field is required when you complete the signature under Signature of person completing the form.

Enter the date the DMV employee signs under “Signature of Employee and ID Number.” Required when completed by the DMV employee. Enter in MM/DD/YYYY format.

Enter the numeric office number assigned to the DMV employee processing this cancellation. Required when completing the “Signature of Employee and ID Number” section. Use digits only with no spaces or letters.

Enter the exact alphanumeric number printed on the driver license or identification card you are surrendering. Include all letters and digits as shown on the card, without spaces or dashes.

Click this button to print the form.

Click this button to clear all the fields in the form.

Enter the date the DMV employee signed under “SIGNATURE OF EMPLOYEE AND ID NUMBER.” Required. Enter in MM/DD/YYYY format.

Check this box when you are certifying under penalty of perjury that you signed the minor’s application for a driver’s license.

Check this box when the person completing the form did not sign the minor’s application but has provided written consent for the issuance of the minor’s license.

Check this box if you are cancelling a minor’s license or ID and you did not sign the minor’s application but now have legal custody of the minor.

Check this box when you are certifying under penalty of perjury that you personally signed the minor’s application for a license.

Check this box if you did not sign the minor’s license application but have provided written consent to the issuance of the minor’s driver license.

Check this box to certify under penalty of perjury that you did not sign the minor’s application for a license but now have custody of the minor when requesting cancellation or surrender of their document.

Enter the three-digit numeric code assigned to the California DMV office where the employee signing under “Signature of Employee and ID Number” is located. Use only numbers; do not include letters, spaces, or punctuation.

Enter the full legal name exactly as it appears on the driver license or identification card you are cancelling. Include first, middle (if any), and last names. This field is required and must match the name printed on the document.

Enter the street address exactly as it appears on the driver license or identification card you are cancelling, including apartment or suite number if applicable. Do not include city, state, or ZIP code; use the "CITY", "STATE", and "ZIP CODE" fields for that information. This field is required.

Enter the city shown in the ADDRESS field on the license or identification card to be cancelled. Spell out the full city name without abbreviations.

Enter the two-letter U.S. postal abbreviation (in uppercase, e.g., CA for California) for the state portion of your address as shown on your license or identification card. This field is required.

Enter the five-digit ZIP Code for the mailing address you entered in the “Address” field. This field is required. Use numerals only; if you know the +4 extension, include a hyphen and the four-digit extension (for example, 90210-1234).

Enter the person’s date of birth as shown on the license or identification card being cancelled. Required. Use MM/DD/YYYY format (two digits for month and day, four digits for year).

Enter the full current mailing address of the person signing this form, including street number and name, apartment or unit number (if applicable), city, state abbreviation, and five-digit ZIP code. Enter on one line, separating elements with commas (e.g., 123 Main St, Anytown CA 90210).

Enter the person’s full name exactly as it appears on the driver license or identification card you are cancelling. Include first name, middle name or initial, and last name, using the same spelling, capitalization, spaces, and hyphens as printed on the document. This field is required.

Enter the full street address (number and street name, plus apartment or unit number if applicable) of the person whose Driver License or Identification Card is being canceled or surrendered. Use standard postal formatting (e.g., “St.” for Street, “Apt” for Apartment). This field is required.

Required. Enter the full name of the city for the address of the person named on the Driver License (DL) or Identification Card (ID) being cancelled or surrendered, exactly as it appears on the DL or ID. Use standard capitalization and the complete city name; do not abbreviate or include the state or ZIP code.

Enter the two-letter U.S. postal abbreviation for the state indicated in the ADDRESS field as shown on the license or identification card to be cancelled. This field is required. Use uppercase letters (e.g., CA for California).

Enter the five-digit ZIP Code for the address of the person as shown on the license or identification card. Include all five digits with no dashes or spaces.

Enter the full Driver License or Identification Card number you are surrendering, exactly as it appears on your document, including all letters and digits without spaces or dashes.

Enter the date of birth for the person named in NAME OF PERSON AS SHOWN ON THE LICENSE OR IDENTIFICATION CARD TO BE CANCELLED. Use MM/DD/YYYY format (e.g., 01/23/1980). This field is required.

Enter the full legal name (first name, middle initial, last name) of the person signing in the “Signature of person completing the form” section. Print legibly in uppercase letters. This field is required.

Enter the full mailing address of the person completing and signing this form. Include street number and name, apartment or unit number (if applicable), city, two-letter state abbreviation, and five-digit ZIP code. For example: “123 Main St Apt 4B, Sacramento CA 95814.”

Check this box if you are unable to surrender your driver license or identification card because it has been lost or destroyed.

This box should be checked when the original driver license or identification card to be cancelled is being physically attached to the form.

Check this box when the license or identification card is unavailable for a reason other than being lost, destroyed, or attached, and provide the explanation on the reverse side of the form.

Provide a brief explanation of why you are voluntarily surrendering or cancelling your Driver License (DL) or Identification Card (ID). Enter a clear statement (for example, “No longer need out-of-state license,” “Upgrading to REAL ID,” etc.). This field is required when requesting cancellation or surrender in the Voluntary surrender or cancellation of a DL or ID Card section. No special formatting is needed.

Check this box if the license or identification card you are cancelling is no longer in your possession because it has been lost or destroyed.

Check this box when the physical driver license or identification card is in your possession and is being submitted with this cancellation request.

Check this when the license or identification card is neither lost or destroyed nor attached to your request and you need to describe its actual location or condition on the reverse side.

Check this box when you are voluntarily surrendering and requesting the cancellation of your driver license.

Check this box when you are voluntarily surrendering and requesting cancellation of your Identification Card (ID).

Check this box when you are voluntarily surrendering and requesting the cancellation of your driver’s license.

Check this box when you are voluntarily surrendering and requesting cancellation of your identification card.